2295 Cliff Rd`7? S MASTER CARD
LOCATION C/t&
STRUCTURE AND ?U O? srr.oh ?
LAND USED AS
Permrt
No.
Issued Issued To
Coniractor ? Owner
BUILDING S'a ? r
PLUMBING
CESSPOOL - $EPTIC TANK
V'JELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
O7HER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELO
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS
ii ?
? ? or?`ff(ce lJse?/ ?-J--------
? 1
`Ph? City of ?a?a? OCr 1 o 200$ I Permit# Z?/ ?7c`_?? I
? f ? I
? Percnrt Fee: ` •??J • ?! ?
3830 Pilot Knob Road
Ea an MN 55122 By ?
9 ? Date Recewed: ?
Phone: (651) 675-5675
Fax: (651) 675-5694 I Starf: I
---- e d't&d ! l - n)
2008 COMMERCIAL BUlLDING PERMIT APPLICATION
Date: Oct. 8, 200%iteAddress: 2295 Cliff Road
Tenant Name:
(Tenant is: New / Existing) Suite #:
PROPERTYOWNER Name: Dakota Electric Association Phone: 651-463-6332
AddressiCirylZip: 4300 220th St. W., Farmington MN 55024
Applicant is: X Owner _ Contractor
TYPE OF WORK Descnption ofwork: c..,; r..hqPar F.rt>>i Qmant .n 1 0su
construcuoncost: LOO,00U A&L
CONTRACTOR Name:Pederson Power Products License# Pending
Address 3900 Dahlman Avenue
City: Omaha state NE Z;P 68107
Phone. (402) 734-3900 Contact Person: Duane Pearson
ARCHITECT/ Name. MiChdel C. StiefeYmann Registration#: 45241
ENGINEER
Address: 221 County Road 247
City. Bonnots Mill State:MO Zip; 65016
Phone: A 13 $ Z.5'Je) ContactPerson Mi chael StiefeYmann
Licensed plumber installing new sewer/water service: N/A Phone #:
NOTE: Plans and supporlirtg documents that you submit are considered to be pubfic information. Portions of
the information may be classiiied as non-public if you pro vFde specit/c reasons thaf would permit the Cety to
conclude that the are trade secrets.
I hereby acknowledge ihal [his information is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not ro start wtlhout a mit; that the work will be in
accordance wrth the approved plan in the case of work which requues a rewew and approval of plaL§,? 7
KmidGen
nWgYs Printed Name
Page 1 of 3
e
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation
? Apartments
? Lodging
? Miscellaneous
WORK TYPES:
J$r New
? Additfon
? Alteration
? Replacement
? Public Facilfty ? Accessory Building
X Commercial 1 Industrial ? Ext. Alteration-Apartments
? Greenhouse ? Ext. Alteration-Commercial
? Antennae ? Ext. Alteratlon-Public Facility
? Nail5alon
? Interior Improvement ? Siding ? Demolish Bullding'
? Move Building ? Reroof ? Demolish Interior
? Fire Repair ? Demolish Foundation
? Windows ? Water Damage
' Demolition (entire builtling) - give PCA handaut to applicant
Valuation ( Bo r Occupancy
Plan Review %/ Code Editlon
(25%_ 100% --L-j Zoning
Census Code Stories
# of Units a Square Feet
#of Buildings ? Length
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drein Tile
RoOf: _ Decking Insulation Final _ Ice/Water
Framing
Fireplace:_R.I Au Test _Final
Insulation
g' Z MCES System
7i40? Ntdjp}(, SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock Meter Size:
FinallC.O.
? Final/NO C.O.
HVAC
Other:
Pool: _Footings Air/Gas Tests Final
Siding:_Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Final C/O Inspectio/?n_: ?Sc?hedule Fire Marshal to be present. _ Yes ? No $;T
Reviewed By: C.Y?A'f Ir , euilding Inspector Reviewed By: 211AW , Planning
COMMERCIAL FEES:
Base Fee 056 • 7Sr
Surcharge SO . a6
Plan Review ?$g
SAC-MCES
SAC-City
S/W Permit
S/W Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total iF1 I"/ql - G j
Sewer Trunk
Water Trunk
Page 2 of 3